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- W4387081670 abstract "Breast-Implant Associated-Anaplastic Large Cell Lymphoma (BIA-ALCL) is a type of non-Hodgkin lymphoma first linked with breast implants in 2011. The correlation between BIA-ALCL and textured devices has led to increased use of smooth devices. However, much of the data surrounding smooth and textured devices investigates breast implants specifically and not tissue expanders (TEs).We performed a systematic review and a meta-analysis to compare surgical outcomes for smooth tissue expanders (STEs) and textured tissue expanders (TTEs).A search was performed on PubMed, including articles from 2016 to 2023 (n = 419). Studies comparing TTEs and STEs and reported complications were included. A random-effects model was utilized for meta-analysis.A total of 5 articles met inclusion criteria, representing 1,709 patients in the STE cohort and 1,716 patients in the TTE cohort. The mean duration of tissue expansion with STEs was 221.25 days, while TTEs had a mean time of tissue expansion of 220.43 days.Our meta-analysis found no differences in all surgical outcomes besides explantation risk. STE use was associated with increasing odds of explantation by over 50% compared to TTE use [OR = 1.53; 95% CI = 1.15 to 2.02; P = 0.003].Overall, STE and TTE had similar complication profiles. However, STE had 1.5 times higher odds of explantation. The incidence of BIA-ALCL is low, and only a single BIA-ALCL has been reported with TTEs. This indicates that TTEs are safe and may lower the risk of early complications requiring explantation. Further studies are warranted to further define the relationship between tissue expanders and BIA-ALCL." @default.
- W4387081670 created "2023-09-28" @default.
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- W4387081670 date "2023-09-27" @default.
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- W4387081670 title "Complication Profiles of Smooth vs Textured Tissue Expanders in Breast Reconstruction: A Systematic Review and Meta-Analysis" @default.
- W4387081670 doi "https://doi.org/10.1093/asj/sjad319" @default.
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